Healthcare Provider Details
I. General information
NPI: 1619018439
Provider Name (Legal Business Name): URGENT MEDICAL CARE INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/12/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
9202 VITRACO MALL SUITE 13
ST THOMAS VI
00802-2660
US
IV. Provider business mailing address
PO BOX 12199
ST THOMAS VI
00801-5199
US
V. Phone/Fax
- Phone: 340-714-5800
- Fax: 340-714-5802
- Phone: 340-714-5800
- Fax: 340-714-5802
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QU0200X |
| Taxonomy | Urgent Care Clinic/Center |
| License Number | 1046 |
| License Number State | VI |
VIII. Authorized Official
Name: DR.
KENNETH
ONYEKWERE
OFOHA
Title or Position: PRESIDENT
Credential: MD
Phone: 340-714-5800